NPIMap

Individual provider Active NPI

Leann Dalton Cooper

  • Family Medicine Physician
  • Russell Springs, KY
National Provider Identifier
1922414481
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50197 Issued in KY
Practice address
124 Dowell Rd
Russell Springs, KY 42642
Phone
(270) 866-2440
Fax
(270) 866-2442
NPI assigned
Jul 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R3457 KY
Family Medicine Physician 207Q00000X 50197 KY Primary

Addresses

Primary practice location

124 Dowell Rd
Russell Springs, KY 42642

Mailing address

124 Dowell Rd
Russell Springs, KY 42642-4278
Phone (270) 866-2440

Other practice location 1

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504-3504
Phone (859) 257-4732

Other practice location 2

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504-3504
Phone (859) 257-4732

Other identifiers 2

IdentifierTypeStateIssuer
R3457MedicaidKY
71000382620MedicaidKY

Other names 1

  • Leann Cooper Other name

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell County Hospital 22 clinicians

Practice addresses (Care Compare)

153 Dowell Rd
Russell Springs, KY 42642-4579
Phone (270) 866-4141

Hospital & facility affiliations

  • Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Russell County Hospital Hospital, Russell Springs, KY, CCN 181330
  • Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048
  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000336 KY Practitioner - Family Practice 9830406149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
50197KYMDFamily Medicine Physician
R3457KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russell County Hospital CurrentSince Sep 5, 2017 Accepting new patients
Russell County Hospital Family Medicine CurrentSince Sep 5, 2017 Accepting new patients
Russell County Hospital Current Accepting new patients

Locations

124 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-2440

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

Interoperability endpoints

  • Direct secure messaging: leann.cooper@crch.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1922414481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DOWELL RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424278",
            "telephone_number": "270-866-2440",
            "fax_number": "270-866-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DOWELL RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "42642",
            "telephone_number": "270-866-2440",
            "fax_number": "270-866-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 Harrodsburg Rd",
            "address_2": "Ste 125",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043504",
            "country_code": "US",
            "telephone_number": "859-257-4732",
            "fax_number": "859-323-6661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2195 Harrodsburg Rd",
            "address_2": "Ste 125",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043504",
            "country_code": "US",
            "telephone_number": "859-257-4732",
            "fax_number": "859-323-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LEANN",
        "middle_name": "DALTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-05",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R3457",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "50197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R3457",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71000382620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "COOPER",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Russell Springs, KY

Sources for this page

Verify at the official NPI Registry.